Physician
Chattanooga Hamilton County Hospital Authority
Chattanooga Hamilton County Hospital Authority was paid $28.03M by Medicaid between Jan 2018 and Dec 2024, across 272 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoCHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY
CHATTANOOGA, TN 37403
CHATTANOOGA, TN 37403
33aNPI1154751931assigned 11/15/2013
33bProvider typeFamily Medicine Physician
28Total paid$28.03M
24GClaims915,125
24DCodes billed272
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#3 of 754
Median peer was paid$34K
This provider vs. median830×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 79,881 | $2.58M | |
| 2019 | 124,012 | $4.09M | |
| 2020 | 124,664 | $3.86M | |
| 2021 | 169,461 | $5.86M | |
| 2022 | 182,684 | $5.98M | |
| 2023 | 167,513 | $4.32M | |
| 2024incomplete | 66,910 | $1.33M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31% | 177,714 | 150,592 | $8.61M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 112,413 | 95,945 | $4.21M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.5% | 13,267 | 11,667 | $1.26M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.6% | 10,618 | 8,947 | $999K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 12,330 | 9,848 | $832K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 9,180 | 7,582 | $716K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 10,950 | 9,639 | $709K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.3% | 18,277 | 6,517 | $651K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.3% | 27,383 | 22,746 | $635K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 2.2% | 2,641 | 595 | $624K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.0% | 17,777 | 4,916 | $547K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 6,578 | 5,442 | $517K |
260 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.8% | 14,730 | $506K |
| 99223 | Prolong inpt eval add15 m | 1.7% | 6,723 | $483K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 1.5% | 5,016 | $407K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 1.3% | 4,585 | $360K |
| 99232 | Hospital visit by a doctor, follow-up day | 1.3% | 12,355 | $352K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.0% | 57,324 | $285K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.0% | 3,458 | $282K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,352 | $268K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 18,783 | $266K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 5,041 | $253K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,870 | $250K |
| 99205 | Prolong outpt/office vis | <1% | 1,727 | $231K |
| 96160 | <1% | 18,734 | $230K | |
| 93304 | <1% | 4,226 | $198K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,459 | $169K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,140 | $148K |
| 93000 | <1% | 11,467 | $143K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 970 | $122K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,418 | $116K |
| 95812 | <1% | 2,567 | $110K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,378 | $94K |
| 20610 | <1% | 2,647 | $94K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 6,362 | $89K |
| 93325 | <1% | 7,587 | $77K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,361 | $74K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,539 | $74K |
| 92551 | <1% | 8,856 | $71K | |
| 93321 | <1% | 5,395 | $68K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 944 | $66K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,121 | $64K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,657 | $63K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,141 | $61K |
| 64483 | <1% | 522 | $56K | |
| 96161 | <1% | 7,199 | $54K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,283 | $52K |
| 81002 | <1% | 23,075 | $52K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 680 | $46K |
| 81025 | <1% | 7,876 | $44K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 580 | $40K |
| 92587 | <1% | 1,787 | $38K | |
| 76830 | Ultrasound, transvaginal | <1% | 488 | $35K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 92 | $35K |
| 90837 | Psychotherapy session, about an hour | <1% | 512 | $34K |
| 99173 | <1% | 7,877 | $34K | |
| 95251 | <1% | 1,787 | $31K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 332 | $31K |
| 99177 | <1% | 5,028 | $30K | |
| 96127 | <1% | 6,246 | $27K | |
| 90697 | <1% | 1,597 | $27K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,158 | $27K |
| 87210 | <1% | 8,684 | $27K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 177 | $27K |
| 90686 | <1% | 12,017 | $27K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 399 | $25K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 10,435 | $25K |
| 36415 | Collection of venous blood by venipuncture | <1% | 16,112 | $23K |
| 93320 | <1% | 852 | $20K | |
| 95886 | <1% | 462 | $20K | |
| 93298 | <1% | 2,022 | $20K | |
| 51798 | <1% | 1,795 | $20K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 264 | $19K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,490 | $18K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 78 | $18K |
| 76801 | <1% | 263 | $17K | |
| 99460 | <1% | 281 | $17K | |
| 93228 | <1% | 1,541 | $17K | |
| 90671 | <1% | 395 | $16K | |
| 77427 | <1% | 156 | $16K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,956 | $15K |
| 73620 | <1% | 1,131 | $15K | |
| 81003 | <1% | 8,673 | $15K | |
| 82962 | <1% | 9,392 | $13K | |
| 54360 | <1% | 30 | $13K | |
| 97161 | <1% | 265 | $13K | |
| 93970 | <1% | 798 | $13K | |
| 17110 | <1% | 275 | $13K | |
| 52356 | <1% | 40 | $13K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,430 | $13K |
| 99401 | <1% | 656 | $12K | |
| 76818 | <1% | 147 | $12K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,493 | $12K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 92 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,432 | $11K |
| 90677 | <1% | 692 | $11K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,651 | $10K |
| 95806 | <1% | 204 | $9K | |
| 59426 | <1% | 15 | $9K | |
| 73562 | <1% | 435 | $9K | |
| 95909 | <1% | 127 | $9K | |
| 93224 | <1% | 122 | $9K | |
| 73630 | <1% | 483 | $8K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 287 | $8K |
| 59025 | Fetal non-stress test | <1% | 229 | $8K |
| 95782 | <1% | 77 | $8K | |
| 73600 | <1% | 569 | $7K | |
| 99468 | <1% | 16 | $7K | |
| 99442 | <1% | 532 | $7K | |
| 99243 | <1% | 67 | $7K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,375 | $7K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 382 | $6K |
| 99464 | <1% | 121 | $6K | |
| 90715 | <1% | 328 | $6K | |
| 99463 | <1% | 80 | $6K | |
| 76882 | <1% | 176 | $6K | |
| 73610 | <1% | 321 | $6K | |
| 85018 | <1% | 2,842 | $6K | |
| 93971 | <1% | 427 | $6K | |
| 31624 | <1% | 35 | $5K | |
| 94060 | <1% | 809 | $5K | |
| 51741 | <1% | 77 | $5K | |
| 54150 | <1% | 27 | $5K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 111 | $5K |
| 64484 | <1% | 110 | $5K | |
| 93289 | <1% | 161 | $4K | |
| 29065 | <1% | 70 | $4K | |
| 88720 | <1% | 1,106 | $4K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 86 | $4K |
| D1110 | Prophylaxis - adult | <1% | 95 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 95 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 52 | $4K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 92 | $4K |
| 3078F | <1% | 16,935 | $3K | |
| 59430 | <1% | 37 | $3K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 487 | $3K |
| 95720 | <1% | 33 | $3K | |
| 29581 | <1% | 183 | $3K | |
| 93296 | <1% | 376 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 58 | $3K |
| 94729 | <1% | 783 | $3K | |
| 73030 | <1% | 224 | $3K | |
| 99385 | <1% | 32 | $3K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 729 | $3K |
| 3074F | <1% | 13,314 | $3K | |
| 95819 | <1% | 89 | $2K | |
| 99406 | <1% | 426 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 232 | $2K |
| 99219 | <1% | 33 | $2K | |
| 95816 | <1% | 82 | $2K | |
| 73502 | <1% | 154 | $2K | |
| 77263 | <1% | 29 | $2K | |
| 95249 | <1% | 115 | $2K | |
| 54161 | <1% | 12 | $2K | |
| 93288 | <1% | 193 | $2K | |
| 20611 | <1% | 42 | $2K | |
| 77334 | <1% | 44 | $2K | |
| 99152 | <1% | 132 | $2K | |
| 64615 | <1% | 40 | $2K | |
| 99292 | <1% | 40 | $2K | |
| 76883 | <1% | 143 | $2K | |
| 94010 | <1% | 186 | $2K | |
| 90651 | <1% | 1,309 | $2K | |
| 93308 | <1% | 60 | $2K | |
| 29405 | <1% | 18 | $2K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 38 | $2K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 71 | $2K |
| 73110 | <1% | 76 | $2K | |
| 74018 | <1% | 100 | $1K | |
| 82270 | <1% | 664 | $1K | |
| G0008 | Administration of influenza virus vaccine | <1% | 405 | $1K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 18 | $1K |
| 99201 | <1% | 47 | $1K | |
| 74420 | <1% | 125 | $1K | |
| 76942 | <1% | 63 | $1K | |
| 99221 | <1% | 20 | $1K | |
| 93015 | <1% | 27 | $1K | |
| 73560 | <1% | 57 | $1K | |
| 64493 | <1% | 20 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 15 | $1K |
| 90670 | <1% | 5,689 | $1K | |
| 99441 | <1% | 114 | $1K | |
| 95885 | <1% | 63 | $1K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 35 | $1K |
| 11102 | <1% | 26 | $991.12 | |
| 72082 | <1% | 28 | $951.85 | |
| 90674 | <1% | 444 | $931.08 | |
| 99217 | <1% | 16 | $923.32 | |
| 85027 | <1% | 532 | $897.70 | |
| 93018 | <1% | 104 | $895.49 | |
| 94727 | <1% | 157 | $890.31 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 15 | $848.12 |
| 94726 | <1% | 206 | $830.42 | |
| 11100 | <1% | 14 | $819.42 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 47 | $785.36 |
| 3079F | <1% | 2,188 | $760.00 | |
| 93016 | <1% | 74 | $697.81 | |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | <1% | 18 | $648.54 |
| 92567 | <1% | 48 | $617.24 | |
| 64494 | <1% | 20 | $600.23 | |
| 85610 | <1% | 226 | $574.96 | |
| 93976 | <1% | 15 | $529.64 | |
| 73130 | <1% | 27 | $522.18 | |
| 96380 | <1% | 41 | $517.32 | |
| 99490 | Ccm add 20min | <1% | 12 | $501.55 |
| 99174 | <1% | 95 | $490.30 | |
| 85007 | <1% | 532 | $485.75 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 117 | $484.43 |
| 97162 | <1% | 21 | $467.45 | |
| 99397 | <1% | 27 | $457.66 | |
| 3075F | <1% | 915 | $442.92 | |
| 73140 | <1% | 18 | $413.31 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 44 | $377.07 |
| 77077 | <1% | 15 | $355.06 | |
| 72100 | <1% | 29 | $330.35 | |
| 90734 | <1% | 813 | $320.37 | |
| 90688 | <1% | 17 | $296.23 | |
| 3077F | <1% | 1,254 | $270.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 12 | $257.04 |
| 94770 | <1% | 18 | $248.47 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 69 | $248.33 |
| 97597 | <1% | 17 | $230.09 | |
| 87807 | <1% | 25 | $221.81 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 45 | $206.89 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 90 | $203.07 |
| 17000 | <1% | 14 | $201.45 | |
| 94760 | <1% | 769 | $199.65 | |
| 90672 | <1% | 31 | $187.60 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 14 | $179.34 |
| Q4008 | Cast supplies, long arm cast, pediatric (0-10 years), fiberglass | <1% | 14 | $161.48 |
| 96112 | <1% | 12 | $143.76 | |
| 90723 | <1% | 2,830 | $141.44 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 14 | $137.90 |
| 85651 | <1% | 230 | $137.38 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 203 | $119.27 |
| 94618 | <1% | 37 | $96.74 | |
| 90661 | <1% | 119 | $77.03 | |
| 3080F | <1% | 157 | $50.00 | |
| 80305 | <1% | 14 | $45.23 | |
| 90633 | <1% | 1,670 | $34.73 | |
| 92558 | <1% | 17 | $31.92 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 31 | $29.97 |
| 0503F | <1% | 246 | $20.62 | |
| 90656 | <1% | 417 | $20.44 | |
| 0500F | <1% | 14 | $20.10 | |
| 90647 | <1% | 2,588 | $17.06 | |
| 3044F | <1% | 1,807 | $10.00 | |
| 90657 | <1% | 113 | $9.82 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 59 | $8.02 |
| 99235 | <1% | 13 | $7.50 | |
| 3008F | <1% | 25,525 | $0.10 | |
| 90707 | 0% | 315 | $0.00 | |
| 3046F | 0% | 1,015 | $0.00 | |
| 90685 | 0% | 895 | $0.00 | |
| 0502F | 0% | 7,399 | $0.00 | |
| 3051F | 0% | 51 | $0.00 | |
| 90648 | 0% | 349 | $0.00 | |
| 90710 | 0% | 30 | $0.00 | |
| 90681 | 0% | 67 | $0.00 | |
| 91300 | 0% | 61 | $0.00 | |
| 90700 | 0% | 126 | $0.00 | |
| 90461 | 0% | 76 | $0.00 | |
| 3725F | 0% | 42 | $0.00 | |
| 99188 | 0% | 13 | $0.00 | |
| 90716 | 0% | 289 | $0.00 | |
| 90680 | 0% | 3,083 | $0.00 | |
| 3048F | 0% | 678 | $0.00 | |
| 90696 | 0% | 37 | $0.00 | |
| 0001A | 0% | 20 | $0.00 | |
| 0501F | 0% | 28 | $0.00 | |
| D1330 | 0% | 29 | $0.00 | |
| 90620 | 0% | 19 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTABOR, JAMES (CHIEF FINANCIAL OFFICER)